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No evidence of transfusion transmission of Adenovirus and Epstein–Barr virus infections in paediatric recipients post–bone marrow transplant
Authors:P Patel  P Tuke  K Tettmar  E Cloutman‐Green  J Hartley  N Klein  P Veys  RS Tedder
Institution:1. R & D Transfusion Microbiology, NHS Blood and Transplant, London, UK;2. Blood Borne Virus Unit, Public Health England, London, UK;3. Camelia Botnar Laboratory, Great Ormond Street Hospital, London, UK;4. Infectious Diseases and Microbiology, Institute of Child Health, London, UK;5. Bone Marrow Transplant Unit, Great Ormond Street Hospital, London, UK
Abstract:Adenovirus and Epstein–Barr virus can cause significant morbidity and mortality in paediatric patients post–bone marrow transplant. The source of infection is thought to be either reactivation of latent viruses or primary infection. We have investigated whether transfusion of blood components from viraemic donors could provide a route of primary infection in these patients and sought the prevalence of viraemia in the blood donor population from England. In 32 linked donor/recipient samples and 300 unselected blood donors, we found no evidence to suggest that these infections in paediatric bone marrow transplant recipients had been acquired from transfused blood components.
Keywords:blood safety  bone marrow  transfusion ‐ paediatric  transfusion ‐ transmissible infections  transplantation
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